Jan 29, 2023. California's current cigarette tax is 87 cents per pack. } Opponents, organized as Patients and Caregivers to Protect Dialysis Patients, raised $111.48 million, with DaVita and Fresenius Medical Care North America providing 90% of the campaign's funds. A few hours after the solution has been pumped into the abdomen, the catheter is reopened to allow the solution to drain. These waivers, intended to ensure adequate staffing at medical facilities, remained in place as of Aug. 2022, with no end in sight but Prop. The California Republican Party is against the measure. Sponsors of the measure hired Kimball Petition Management to collect signatures for the petition to qualify this measure for the ballot. 29's proponents say dialysis companies don't invest enough in patient care and safety, although they are highly profitable. .arguments-bm-widget li { Overall, we assume that clinic owners and operators generally would: (1)be able to negotiate with some payers to receive higher payment rates to cover some of the new costs imposed by the proposition, particularly if many clinics were to close otherwise; (2)continue to operate some clinics with reduced income; and (3)close some clinics, with the consent of CDPH. Prop 29 Explained - November 8 Election . Haz clic aqu, Mongols gang member sentenced to 10 years in killing of Pomona officer, Polar bear kills woman, boy in remote Alaska village, Man gets 30 years in prison in road rage killing of teen Astros fan. [7], The full text of the ballot initiative is below:[1]. School districts | California Proposition 29, Dialysis Clinic Requirements Initiative (2022). [35], To vote in California, an individual must be a U.S. citizen and California resident. This material may not be published, broadcast, rewritten, or redistributed. Proponents reported collecting 25% of the required signatures (155,803) on January 24, 2022. Life is stressful. Click here to contact us for media inquiries, and please donate here to support our continued expansion. na si. 29 will help ensure they receive safe treatment in dialysis clinics under the care of a doctor or another highly trained clinician in case of emergencies, without risk of infection, and without discrimination. Despite overwhelmingly being rejected by voters twice in the last two election cycles, SEIU-UHW is back a third time with Prop 29 that puts patients' lives at risk. There are no recent or relevant statistics, surveys or studies that suggest a need for dialysis reform, nor is there substantial support for this proposition from dialysis professionals. Provide the CDPH with a list of physicians who have an ownership interest of 5% or more in the clinic. 29 differs from Prop. Many people in the state have group health insurance coverage through an employer or another organization (such as a union). Most Dialysis Patients Receive Treatment in Clinics. CDPH also certifies clinics on behalf of the federal government. Clinics Could Respond to Higher Costs in Different Ways. Few Main Sources Pay for Dialysis. }, The following table includes contribution and expenditure totals for the committee in support of the initiative. 8 in 2018 and Prop. -moz-columns: 2; Supporters claim that the industry makes billions of dollars each year, but does not reinvest those profits into patient care. Finally, the dangers of dialysis could be better minimized by reducing the number of patients who require this procedure. text-align:center; "If Prop 29 passes, it will save 104,000 lives, it will stop 228,000 kids from smoking and that at a cost of $1 increase per pack," said Durazo. Most people with kidney failure receive dialysis at chronic dialysis clinics (clinics), although some may receive dialysis at hospitals or in their own homes. The SEIU-UHW West sponsored Californians for Kidney Dialysis Patient Protection, which raised $18.94 million. Patients Own Physician Oversees Treatment. Prop. On average, group and individual health insurers pay multiple times what government programs pay for a dialysis treatment. 1 would amend California's constitution to say that the state would not be allowed to interfere with or deny a person's right to abortion or contraceptives if it passes. 29 would shut down dialysis clinics and threaten the lives of 80,000 California patients who need dialysis to survive. This scenario would lead to increased costs for state and local governments likely in the tens of millions of dollars annually. [3], Californians for Kidney Dialysis Patient Protection led the Kidney Patients Deserve Better campaign in support of Proposition 29. Sacramento TheSanta Rosa Press Democratand the 11 papers that make up theSouthern California News Grouptold voters to reject Proposition 29 in recent editorials. Camryn Park, California Voters Will Weigh in on Dialysis Clinics for the Third Time in Four Years, San Francisco Chronicle, July 6, 2022. By Vittorio Nastasi November 22, 2022, Reason Foundation Like last time, this latest proposition will again jeopardize access to care, worsen our health care provider shortage and increase health care costs for all Californians. Clinics are already required to have a physician on staff overseeing patients care, and each patient has a kidney specialist directing their individual treatment. 29 would increase the cost of providing dialysis services, and force some dialysis centers to shut down and others to reduce hours, thereby reducing access to this lifesaving treatment. In 2020, Gov. The SEIU-UHW West said workers at dialysis clinics had been attempting to unionize since 2016, but that their employers were retaliating against pro-union employees. In California, about 80,000 patients receive dialysis treatments each month, most of which happen at one of the roughly 600 private clinics across the state. [8], .ballot-measure-endorsements p { [2], In 2018, SEIU-UHW also sponsored Proposition 8, which was defeated with 59.9% of voters rejecting it. Prop 22: California Measure's Pros And Cons . If a clinic plans to close or substantially reduce its services, Proposition 29 requires the clinic or its owner or operator to notify CDPH in writing and obtain CDPHs written consent. Propositions on the November 8, 2022 Ballot. Peritoneal dialysis: Surgeons insert a catheter into the lining of a person's abdomen. All Rights Reserved. SAN FRANCISCO (KGO) -- For the third time in three straight elections, California voters rejected a ballot measure that would have mandated major changes to the operations of dialysis clinics. Even the labor-friendly Legislature has refusedto pass similar legislation. Tom Del Becccaro, Chairman of the California Republican Party, said the party decided not to support the proposition. Help expand Ballotpedia's elections coverage - volunteer with us. This amount is less than one-half of 1percent of the states total General Fund spending. Prop 22 california 2020 pros and cons. Contact Information. Over time, a person may develop kidney failure. Dialysis Mimics What a Normal Kidney Does. Tubing is attached to allow blood to be pumped between the access point and a hemodialyzer machine, also known as an artificial kidney machine. [14], Proposition 23 saw $114.23 million raised between supporters and opponents. Requires Dialysis Clinics to Notify and Obtain Consent From CDPH Before Closing or Substantially Reducing Services. Education and Health Care Tax, Prop 55 12-year extension to the 2012 tax income tax increases on those making $250,000 or more a year. Dialysis copies what healthy kidneys do. Cross Lunch Off Your List, Lunch Bunch delivers nutritious, creative and fun to eat meals for kids aged 3-10. . / CBS San Francisco. | Government regulations largely decide what these rates are. Both CDPH and clinics (or their owners or operators) must post this information on their websites. }, .arguments-bm-widget { and Sundays at 8:30 a.m. and 8:30 p.m. on KCBS All News 740AM and 106.9FM. Con: Opponents of Proposition 29 argue that it would shut down dialysis clinics and threaten the lives of 80,000 California patients who need dialysis to survive. Two private for-profit companiesDaVita, Inc. and Fresenius Medical Careown or operate nearly 75percent of licensed clinics in California. Prop. nurse practitioner or physician assistant be on site during treatment. margin-bottom: 5px !important; You may occasionally receive promotional content from the Los Angeles Times. Original story follows below. Dialysis clinics are already required to report ownership interests of 5% or more to the state survey agency,[4] and current federal rules already require that dialysis clinics have an assigned medical director a physician responsible for staff training and implementing quality of care measures although there are no rules for how long this doctor needs to be on site. Prop 28 is supported by numerous famous California musicians, actors, and media industry executives. Increased state and local government costs likely in the tens of millions of dollars annually. Clinics cannot refuse to offer or provide care to patients based on who pays for patients treatments. While our example was specifically drawn from a home in Los Angeles, a similar story is likely to play out in other areas of California. "[19] Dave Regan stated, "The reason Prop. 8 is on the ballot is because they have a terrible business model and theyre gouging patients and insurers. Various Entities Own and Operate Dialysis Clinics. The federal-state Medicaid program, known as Medi-Cal in California, provides health coverage to eligible low-income California residents. For example, clinics must report when a patient develops a bloodstream infection and the suspected cause of the infection. How to vote | "[18] Wherley, a spokesperson for the SEIU-UHW West, contended that dialysis workers "want these [initiative] reforms regardless of what happens with their union efforts. vehicle certificate of ownership issued by a governmental agency. CDPH licenses clinics to operate in California. (202) 986-0916, Senior Managing Director, Transportation Policy, Photo 193235704 Saengsuriya Kanhajorn | Dreamstime.com, Innovators in Action: James Small, public safety director of Palmyra, Wisconsin, Florida must stop relying on taxation by citation, Properly designed impact fees could help Wakulla County accommodate population growth. For some owners and operators, the higher costs would reduce their profits, but they still could operate at current levels without closing clinics. ABC7 is breaking down all of the propositions Californians are voting on this Election Day. Its true that clinics often have to call for help if a kidney patient has an emergency, but that wont change even with extra staff because they are not emergency medical facilities. Requires clinics to report dialysis-related infection data to state. For a third straight election, California voters are being asked to decide on a measure to regulate dialysis clinics across the state. .footer-nav .dropIcon { display: none !important;} .footer-nav .sub-menu {display: none !important;}Paid for by No on 29: Stop Yet Another Dangerous Dialysis Proposition, sponsored by patients, doctors, nurses and dialysis providers. On November 7, 2018, Californians for Kidney Dialysis Patient Protection announced that a similar ballot initiative would be filed for 2020. The site Voter Status, run by the California Secretary of State's office, allows residents to check their voter registration status online. The proposition requires CDPH to adjust the annual licensing fee paid by clinics to cover these costs. .ballot-measure-endorsements ul { You can't legally bet on sports in California right now, but Proposition 27 would change that, allowing online betting operated by Native American tribes and gambling companies. The solution absorbs wastes and uses the lining of the abdomen as a filter. Opponents claim that it may force some clinics to close. Healthy kidneys remove waste and extra fluid from a persons blood. David Miller, research director of SEIU-UHW, said, "Theres just so much improvement that can be made, and theres plenty of resources in the industry to make those improvements. font-size:1.0em; Its not clear that added regulations are necessary or that added oversight would guarantee improved outcomes, and several requirements set forth by Prop. 29 argue that patients have a higher chance of infection or death when a nurse practitioner, physician, or practitioner is not present and that requiring those medical professionals to be on staff would reduce the likelihood of death or infection. In contrast, group and individual health insurers negotiate with clinic owners and operators to set rates. Click here to contact our editorial staff, and click here to report an error. And the trained nurses and technicians at dialysis clinics are just as equipped to deliver basic lifesaving care as doctors or nurse practitioners required under the proposition. If federal data is insufficiently timely or complete, health advocates purposes would seem better served by working with the CDC to improve that data rather than imposing a second collection system in just one state un Prop. Ballotpedia did not identify media editorial boards in support of the ballot measure. Some people qualify for both Medicare and Medi-Cal. Stop yet another dangerous dialysis proposition. 29 in 1 minute. The last time a cigarette tax was on the California ballot was in 2006, when Proposition 86 was narrowly defeated. Code of Federal Regulations Title 42, Chapter IV, Subchapter G, Part 494: Conditions for Coverage for End-Stage Renal Disease Facilities, last modified July 11, 2022. The Legislative Analyst Office estimates that Proposition 29 would cost Californias state and local governments taxpayerstens of millions of dollars annually. Dialysis centers would incur additional costs to implement the measure some of which they would be expected to pass along in the form of higher fees and charges to Californias Medi-Cal system and to health care plans for public sector employees and retirees. Initiative Statute. Proposition 30 wants to tax the wealthiest Californians -- a 1.75% personal income tax hike on those who make more than $2 million per year. Close Some Clinics. A "no" vote opposed this ballot initiative to require dialysis clinics to have at least one physician, nurse practitioner, or physician assistant while patients are being treated; report data on dialysis-related infections; and not discriminate against patients based on the source of payment for care. The labor union SEIU is a major supporter of this measure and supported the previous two measures. margin-top: 0 !important; Proposition 29 Could Increase Health Care Costs for State and Local Governments. 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